RT Journal Article SR Electronic T1 PGM3 inhibition Shows cooperative Effects With Erastin inducing Pancreatic cancer cell death via activation of the Unfolded Protein Response JF bioRxiv FD Cold Spring Harbor Laboratory SP 2023.03.19.533311 DO 10.1101/2023.03.19.533311 A1 Zerbato, Barbara A1 Gobbi, Maximilian A1 Ludwig, Tobias A1 Brancato, Virginia A1 Pessina, Alex A1 Brambilla, Luca A1 Wegner, Andre A1 Chiaradonna, Ferdinando YR 2023 UL http://biorxiv.org/content/early/2023/03/23/2023.03.19.533311.abstract AB Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive cancer with a poor patient prognosis. Remarkably, PDAC is one of the most aggressive and deadly tumor types and is notorious for its resistance to all types of treatment. PDAC resistance is frequently associated with a wide metabolic rewiring and in particular of the glycolytic branch named Hexosamine Biosynthetic Pathway (HBP). Here we show the effect of the combined treatment between an HBP’s Phosphoglucomutase 3 (PGM3) enzyme inhibitor, named FR054, and erastin (ERA), a recognized ferroptosis inducer, on PDAC cell growth and survival. Noteworthy, the combined treatment applied to PDAC cell lines induces a significant decrease in cell proliferation and a concurrent enhancement of cell death. Furthermore, we show that this combined treatment induces Unfolded Protein Response (UPR), NFE2 Like BZIP Transcription Factor 2 (NRF2) activation, a change in cellular redox state, a greater sensitivity to oxidative stress, a major dependence on glutamine metabolism, and finally ferroptosis cell death. Our study discloses that HBP inhibition enhances, through UPR activation, the ERA effect and therefore might be a novel anticancer mechanism to be exploited as PDAC therapy.Competing Interest StatementThe authors have declared no competing interest.